LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          March 29, 1995



 TO:     Honorable Bill Ratliff, Chair          IN RE:  Senate BillNo. 1280
         Committee on Education                         By: Sibley
         Senate
         Austin, Texas







FROM: John Keel, Director

In response to your request for a Fiscal Note on Senate Bill No.
1280 (Relating to the creation of statewide preceptorship
programs in general internal medicine and general pediatrics and
the expansion of primary care residency positions.) this office
has determined the following:

The bill would make no appropriation but could provide the legal
basis for an appropriation of funds to implement the provisions
of the bill.

This bill would create a statewide preceptorship program in
general internal medicine and general pediatrics; establish the
Primary Care Residency Advisory Committee to review applications
for approval and funding of primary care training program
expansion;  and expand primary care residency positions.

The following assumptions are included in the amounts below:

Preceptorship program:  An estimated 800 students (400 students
per program) could be supported annually in both programs.  Costs
are estimated at $600,000 per year for recipients stipends,
travel expenses, program administration and providers expenses.

Primary Care Residency Advisory Committee:  Reimbursement to
committee members for actual expenses incurred in the performance
of their duties is estimated at $15,000 per year.

Primary Care Residency Program Expansion:  Approximately 150 new
positions would be created and phased in over a five-year period    




at a rate of 30 new first-year positions per year.   Continued 
postgraduate positions for the second and third year of training
(as well as postgraduate year four for obstetrics and gynecology
residents) would be funded.

The probable fiscal implication of implementing the provisions of
the bill during each of the first  five years following passage
is estimated as follows:



            Fiscal  Probable Cost Out 
             Year      of  General    
                     Revenue Fund 001 
                                      
          1996              $1,065,000
          1997               1,965,000
                                      
          1998               2,640,000
                                      
          1999               3,320,000
          2000               3,338,000
                                      
                                      
                                      
       Similar annual fiscal implications would continue as long as the
provisions of the bill are in effect.

No significant fiscal implication to units of local government is
anticipated.


Source:   Higher Education Coordinating Board
          LBB Staff: JK, DB, DF